Nri oriri na-edozi nne na-ezo aka n'inye nri sitere n'èzí eriri afọ, dị ka intravenous, intramuscular, subcutaneous, intra-abdominal, wdg. Ụzọ isi bụ eriri afọ, ya mere, nri parenteral nwekwara ike ịkpọ nri na-edozi ahụ n'ụzọ dị warara.
Nri oriri na-edozi ahụ-na-ezo aka na usoro ọgwụgwọ nke na-enye ndị ọrịa nri nri site na ụzọ eriri afọ.
Ngwakọta nri nke parenteral-karịsịa shuga, abụba, amino acids, electrolytes, vitamin, na ihe ndị na-achọpụta.
Nri nri parenteral-dị iche na ndị ọrịa na steeti ọrịa. Ihe kalori nke okenye n'ozuzu chọrọ bụ 24-32 kcal/kg·d, na usoro nri kwesịrị ịgbakọ dabere na ibu onye ọrịa.
Glucose, abụba, amino acids na kalori-1g glucose na-enye calorie 4kcal, 1g abụba na-enye calorie 9kcal, 1g nitrogen na-enye calorie 4kcal.
Ọnụnọ nke sugar, abụba na amino acid:
Isi iyi kacha mma na nri nri parenteral kwesịrị ịbụ sistemu ume abụọ mejupụtara shuga na abụba, ya bụ, kalori na-abụghị protein (NPC).
(1) Oke nitrogen okpomọkụ:
N'ozuzu 150kcal: 1g N;
Mgbe nrụgide traumatic siri ike, a ga-amụba ọkọnọ nitrogen, na okpomọkụ-nitrogen ruru nwere ike ọbụna gbanwee na 100kcal: 1g N iji gboo mkpa nke metabolic nkwado.
(2) Sugar ruo oke lipid:
N'ozuzu, 70% nke NPC bụ glucose na-enye 30% site na emulsion abụba.
Mgbe nrụgide dị ka trauma, a na-enwe ike ịba ụba nke emulsion abụba nke ọma yana ịbelata oriri nke glucose. Ha abụọ nwere ike inye 50% ume.
Dịka ọmụmaatụ: ndị ọrịa 70kg, oke nke ngwọta edozi na-edozi ahụ.
1. Ngụkọta calorie: 70kg × (24——32) kcal/kg·d=2100 kcal
2. Dabere na oke shuga na lipid: shuga maka ike-2100 × 70% = 1470 kcal.
Abụba maka ike-2100 × 30% = 630 kcal
3. Dị ka 1g glucose na-enye calorie 4kcal, 1g abụba na-enye calorie 9kcal, na 1g nitrogen na-enye calorie 4kcal:
Ọnụ ego shuga = 1470 ÷ 4 = 367.5g
Oke abụba = 630 ÷ 9 = 70g
4. Dị ka oke okpomọkụ na nitrogen si dị: (2100 ÷ 150) × 1g N = 14g (N)
14×6.25 = 87.5g (protein)
Oge nzipu: Jul-16-2021